SUSAN BLACKBURN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114636

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

BLACKBURN

Business Name

SUSAN BLACKBURN

Original Issue Date

07/11/1996

Effective Date

07/11/1996

Expiration Date

03/31/2002

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

12/06/2005